# SYDAL ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720423320
- **Authorized official:** MS. SYLVIE GODWIN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (678) 764-6204

## Contact information

- **Practice address:** 330 KERRITH DR, STOCKBRIDGE, GA 30281-4278
- **Practice address phone:** (678) 764-6204
- **Practice address fax:** (678) 400-0735
- **Mailing address:** 330 KERRITH DR, STOCKBRIDGE, GA 30281-4278
- **Mailing address phone:** (678) 764-6204
- **Mailing address fax:** (678) 400-0735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 075-R-0707 | GA | Yes |

## Other

- **Enumeration date:** 05/08/2013
- **Last updated:** 05/08/2013